Individual provider Active NPI

Natalia Starodubtseva

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1578099651
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2518101 Issued in NY
Practice address
2632 E 21St St
Apt. 2B
Brooklyn, NY 11235-2907
Phone
(646) 334-2684
NPI assigned
May 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2518101 NY Primary

Addresses

Primary practice location

2632 E 21St St
Apt. 2B
Brooklyn, NY 11235-2907

Mailing address

2632 E 21St St
Apt. 2B
Brooklyn, NY 11235-2907
Phone (646) 334-2684

Other names 1

  • Nataliya Kushnir Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2518101NYMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1578099651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 E 21ST ST",
            "address_2": "APT. 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352907",
            "telephone_number": "646-334-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 E 21ST ST",
            "address_2": "APT. 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352907",
            "telephone_number": "646-334-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARODUBTSEVA",
        "first_name": "NATALIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2518101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIYA",
            "last_name": "KUSHNIR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.